NPIMap

Organization Active NPI

County of Rock County Clerk

Doing business as Rock Haven

  • Skilled Nursing Facility
  • Janesville, WI
National Provider Identifier
1740278456
Registry record updated Jun 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
2425 Issued in WI
Legal business name
COUNTY OF ROCK COUNTY CLERK
Doing business as
Rock Haven
Practice address
3418 N County Hwy F
Janesville, WI 53545
Phone
(608) 757-5000
Fax
(608) 757-5010
NPI assigned
Oct 7, 2005
Last updated
Jun 21, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. David R Sudmeier
Title
Controller
Phone
(608) 757-5151

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 2425 WI Primary

Addresses

Primary practice location

3418 N County Hwy F
Janesville, WI 53545

Mailing address

PO Box 351
Janesville, WI 53547-0351
Phone (608) 757-5000

Other identifiers 2

IdentifierTypeStateIssuer
20161800MedicaidWI
600000111OtherWIMEDICARE RAILROAD

Other names 1

  • Rock Haven Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040907000512 WI Part B Supplier - Clinic/Group Practice 6800862384 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Janesville, WI
O20050428000448 WI Part A Provider - Skilled Nursing Facility 6800862384 Practice locations: Janesville, WI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1740278456. Details of each certification follow.

Skilled nursing facility certification: CCN 525390

Legal name
COUNTY OF ROCK COUNTY CLERK
Doing business as
ROCK HAVEN SKILLED NURSING HOME.
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Jul 1, 1985
Last certification
Sep 19, 2024
Beds
128
Ownership / control type
County
Organization structure
GovernmentNon-profit
Enrollment address
3400 North County Trunk Hwy F
Janesville, WI 53547-0920
Nursing home name
ROCK HAVEN

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Nursing home

Medicare Care Compare
Listed as
Rock HavenCCN 525390 · All quality measures
Overall star rating
4 of 5
Health inspections
3 of 5
Staffing
5 of 5
Quality measures
3 of 5
Type
Medicare and Medicaid
Ownership
Government - County
Certified
Jul 1, 1985
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12890.4 residents per day on average
Penalties (3 years)
1Fines totaling $42,560

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Tonya Colvin Individual Corporate DirectorBusiness Manager Dec 20, 2021
W-2 Managing Employee Dec 20, 2021
County of Rock County Clerk Organization, Janesville, WI 5% Or Greater Direct Ownership Interest Dec 31, 1973 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Affiliated clinicians 8

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1128643200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529539200000",
    "number": "1740278456",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 351",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "535470351",
            "telephone_number": "608-757-5000",
            "fax_number": "608-757-5010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3418 N COUNTY HWY F",
            "city": "JANESVILLE",
            "state": "WI",
            "postal_code": "53545",
            "telephone_number": "608-757-5000",
            "fax_number": "608-757-5010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTY OF ROCK COUNTY CLERK",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-10-07",
        "last_updated": "2018-06-21",
        "status": "A",
        "authorized_official_last_name": "SUDMEIER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "608-757-5151",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "WI",
            "license": "2425",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "20161800",
            "state": "WI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "600000111",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rock Haven",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Janesville, WI

Sources for this page

Verify at the official NPI Registry.